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A KIM MEDICAL PC NPI 1467622266


NPI Information

NPI: 1467622266
Provider Name: A KIM MEDICAL PC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 33D1078647

Address:
2500 NESCONSET HWY
BUILDING 21A
STONY BROOK, NY
ZIP 11790
Phone: (631) 751-4000
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A KIM MEDICAL PC is an urology in Stony Brook, NY. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. A KIM MEDICAL PC NPI is 1467622266. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 NESCONSET HWY
BUILDING 21A
STONY BROOK, NY
ZIP 11790-555
Phone: (631) 751-4000
Fax: (631) 246-6176

The provider's authorized official is Albert N Kim .
The authorized official title is President and has the following contact phone number (631) 751-4000.

The CLIA number assigned to this NPI record is 33D1078647 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/7/2008 and was last updated on 8/4/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology167661-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WXPZY1MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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